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CT in differentiating complicated from uncomplicated appendicitis: Presence of any of 10 CT features vs radiologists' gestalt assessment

American Journal of Roentgenology Aug 23, 2019

Kim HY, Park JH, Lee SS, et al. - Via a retrospective study, which was conducted in a tertiary teaching hospital and that comprised 100 patients with suspected appendicitis on CT, researchers proposed a sensitive CT criterion (the presence of any of 10 CT features) for complicated appendicitis that could be used in the nonoperative management of appendicitis and contrasted the diagnostic performance of this sensitive CT criterion with that of gestalt assessment. The pooled sensitivity of the presence of any of 10 CT features was greater than that of gestalt assessment, however, at the cost of lower specificity. For the prudent selection of patients who should get nonoperative treatment of appendicitis, the any-of-10-features criterion may be used to reduce treatment failure correlated with a false-negative diagnosis of complication.
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